| NPI | 1063962538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNA BATURONI Office Manager 760-861-1436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA A977985) |
| Enumeration Date | 2016-10-09 |
| Last Update Date | 2023-08-30 |